MRS. SHANNON LOUISE RUSSELL (NPI# 1346647351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346647351 |
Entity Type | Individual |
Full Name | MRS. SHANNON LOUISE RUSSELL |
Credential | PT, DPT |
Practice Address |
12611 Hymeadow Dr. Austin TX 78729 |
Mailing Address |
P.o Box 170040 Austin TX 78717 |
Practice Telephone | 5129960441 |
Practice Fax Number | 5129960442 |
Mailing Telephone | 5129960441 |
Mailing Fax Number | 5129960442 |
Enumeration Date | 2014-11-20 |
Last Update Date | 2014-11-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1233729 | TX | Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124635727 | Shannon Russell | Physical Therapist | 4649 Sunnyside Ave N Ste 302, Seattle, WA 98103-6955 | 2020-09-28 |
1770138406 | Shannon M Russell | Registered Nurse | 345 Vigue Rd, Whitefield, ME 04353-3013 | 2019-08-08 |
1578923793 | Shannon Russell | Developmental Therapist | 500 Fairway Dr Ste 120, Deerfield Beach, FL 33441-1814 | 2016-03-01 |
1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
1770705311 | Shannon Russell | Dentist | 2720 Highway 4, Arnold, CA 95223 | 2007-05-03 |
1790250504 | Shannon Russell | Case Manager/Care Coordinator | 601 S Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2018-10-08 |
1790273647 | Shannon D Russell | Social Worker | 1406 Main St, East Hartford, CT 06108-1684 | 2018-04-26 |
1437510005 | Shannon Russell | Behavioral Analyst | 1519 Baxter Ave, Louisville, KY 40205-1008 | 2016-03-10 |
1780061697 | Shannon Raye Russell | Occupational Therapist | 1515 Holcombe Blvd, Unit 98, Houston, TX 77030 | 2015-04-29 |
1265833909 | Shannon Russell | Nurse Practitioner | 1001 E Primrose St, Springfield, MO 65807-5155 | 2014-09-12 |
Street Address |
12611 HYMEADOW DR. |
City | AUSTIN |
State | TX |
Zip Code | 78729 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225512601 | Generation Able | Case Management | 8100 W Anderson Mill Rd Apt 3102, Austin, TX 78729 | 2018-09-20 |
1952726754 | Noah S Garcia | Counselor | 9414 Anderson Mill Rd Ste 204, Austin, TX 78729 | 2014-03-03 |
1841458379 | Christopher Stansbury Pllc | Dentist | 10119 Lake Creek Parkway, Suite #1, Austin, TX 78729 | 2008-05-31 |
1073771549 | Amanda Ramirez | Counselor | 13625 Pond Springs Rd Ste 108, Austin, TX 78729 | 2008-05-30 |
1871797928 | Rebecca Box Davis | Dentist | 10125 Lake Creek Pkwy, Austin, TX 78729 | 2007-06-13 |
1124249610 | Judy Norea Cardinale | Social Worker | 13625 Pond Springs, Ste. 101, Austin, TX 78729 | 2007-05-01 |
1144348368 | Don Davis | Dentist | 10125 Lake Creek Pkwy., Austin, TX 78729 | 2007-03-26 |
1730251513 | Scooters To Go Austin, LLC | Durable Medical Equipment & Medical Supplies | 13170 G Pond Springs Road, #10, Austin, TX 78729 | 2006-11-15 |
1295846913 | Paul Marvin Lounsberry Jr. | Dentist | 9000 Anderson Mill Rd, Austin, TX 78729 | 2006-08-31 |
1396755104 | Diana S Bustelo | Physical Therapist | 12304 Boneta Cv, Austin, TX 78729 | 2006-08-08 |
Find all providers in zip 78729 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023633518 | At Home Telehealth Pt, Pllc | Clinic/Center | 12815 Woodmere St, Austin, TX 78729-4555 | 2020-06-10 |
1508407974 | Valerie Benjamin | Clinic/Center | 5401 La Crosse Ave Bldg C101, Austin, TX 78739-2159 | 2019-10-07 |
1326527458 | Resilientrx | Clinic/Center | 4820 Twin Valley Dr, Austin, TX 78731-3539 | 2018-08-09 |
1568953230 | Resolution Manual Therapy, Pllc | Clinic/Center | 8901 Ravello Pass, Austin, TX 78749-4959 | 2018-05-29 |
1639604218 | Natural Fit Therapy Pllc | Clinic/Center | 13740 Research Blvd Ste V3, Austin, TX 78750-1841 | 2017-04-20 |
1417488875 | Agilitas Usa, Inc | Clinic/Center | 1600 W 38th St Ste 132, Austin, TX 78731-6404 | 2017-03-27 |
1255874871 | Retrofit Performance Training LLC | Clinic/Center | 720 Airport Blvd, Trlr 71, Austin, TX 78702-4107 | 2016-11-30 |
1437607884 | Agilitas Usa Inc. | Clinic/Center | 500 Canyon Ridge Dr Ste B150, Austin, TX 78753-1689 | 2016-09-14 |
1962877043 | Cancer Rehab Austin | Clinic/Center | 1517 W Koenig Ln Bldg A, Austin, TX 78756-1415 | 2015-12-01 |
1154730091 | Diane Hodges Popps | Clinic/Center | 6911 Rr 620 N Ste B, Austin, TX 78732-1920 | 2014-08-05 |
Find all providers in AUSTIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.